Abstract：
BACKGROUND:Ventilator-associated pneumonia (VAP) is a nosocomial pneumonia that develops in patients on mechanical ventilation for >or=48 hours. VAP develops at an estimated rate of 1% to 3% per day of mechanical ventilation. METHODS:Quality improvement project. Mechanically ventilated patients received the following oral care every 4 hours: the teeth were brushed with cetylpyridinium chloride (changed to 0.12% chlorhexidine gluconate in 2007) using a suction toothbrush, the oral cavity was cleansed with suction swabs treated with hydrogen peroxide, a mouth moisturizer was applied, deep oropharyngeal suctioning was performed, and suction catheters were used to control secretions. The primary efficacy variable was a diagnosis of VAP in patients mechanically ventilated for >or=48 hours. RESULTS:The historical average rate of VAP in 2004 was 12.6 cases/1000 ventilator-days. After the inception of the quality improvement project, VAP rates decreased to 4.12 (VAP cases/days of ventilation x 1000) for May to December 2005, to 3.57 for 2006, and to 1.3 for 2007. CONCLUSION:The use of an oral care protocol intervention and ventilator bundle led to an 89.7% reduction in the VAP rate in mechanically ventilated patients from 2004 to 2007.
journal_name
Am J Infect Controljournal_title
American journal of infection controlauthors
Hutchins K,Karras G,Erwin J,Sullivan KLdoi
10.1016/j.ajic.2008.12.007subject
Has Abstractpub_date
2009-09-01 00:00:00pages
590-7issue
7eissn
0196-6553issn
1527-3296pii
S0196-6553(09)00076-5journal_volume
37pub_type
杂志文章abstract：BACKGROUND:Chlorhexidine gluconate (CHG) and povidone iodine (PI) are rarely used concurrently despite a lack of evidence regarding functional incompatibility of these agents. METHODS:CHG and PI, alone and combined, were evaluated against Staphylococcus aureus (methicillin-susceptible S aureus [MSSA] and methicillin-r...
journal_title：American journal of infection control
pub_type： 杂志文章
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更新日期：2010-12-01 00:00:00
abstract：BACKGROUND:Vancomycin-resistant enterococci (VRE) are important nosocomial pathogens in many hospitals. The true prevalence of VRE in pediatric hospitals is not known. METHODS:A surveillance study was performed at a pediatric tertiary care medical center by using vancomycin-containing screening media. RESULTS:Six chi...
journal_title：American journal of infection control
pub_type： 杂志文章
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更新日期：1998-12-01 00:00:00
abstract：BACKGROUND:Numerous strategies are available to prevent surgical site infections in hip arthroplasty, but there is no consensus on which might be the best. This study examined infection prevention strategies currently recommended for patients undergoing hip arthroplasty. METHODS:Four clinical guidelines on infection p...
journal_title：American journal of infection control
pub_type： 杂志文章,评审
doi：10.1016/j.ajic.2012.03.027
更新日期：2013-03-01 00:00:00
abstract：:We aimed to validate quality assurance (QA) criteria for rectal surveillance cultures (RSCs) for extended-spectrum β-lactamase-producing Enterobacteriaceae. QA for RSCs were tested by observing the presence or absence of fecal soiling and by examining the growth of Enterobacteriaceae on MacConkey agar. Extended-spectr...
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abstract：BACKGROUND:Infection prevention is a profession that requires highly specified skills and clinical experience. Infection Preventionists (IPs) direct interventions that protect patients from health care-associated infections across clinical and community settings. To enhance the hiring and recruitment of diverse IPs, it...
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journal_title：American journal of infection control
pub_type： 杂志文章,评审
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abstract：BACKGROUND:The purpose of this quality improvement project was to determine the effect of providing feedback to managers and bedside nurses on the nurses' central line-associated bloodstream infection (CLABSI) contributing factors, found on visual and documentation audits. METHODS:This nonexperimental, quality improve...
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abstract：BACKGROUND:Candidemia in children caused by non-albicans Candida (NAC) spp is increasing in prevalence, but the relevant information is limited. METHODS:All isolates of pediatric candidemia from a medical center in Taiwan between 2003 and 2015 were enrolled. The characteristics of patients with NAC and Candida albican...
journal_title：American journal of infection control
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doi：10.1016/j.ajic.2018.05.015
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journal_title：American journal of infection control
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journal_title：American journal of infection control
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doi：10.1016/0196-6553(90)90185-u
更新日期：1990-06-01 00:00:00
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journal_title：American journal of infection control
pub_type： 杂志文章
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更新日期：1984-04-01 00:00:00
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journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2013.11.024
更新日期：2014-04-01 00:00:00
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journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2011.09.009
更新日期：2012-10-01 00:00:00
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pub_type： 杂志文章
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更新日期：2020-09-01 00:00:00
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journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2008.01.004
更新日期：2008-04-01 00:00:00
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journal_title：American journal of infection control
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doi：10.1016/j.ajic.2014.06.012
更新日期：2014-10-01 00:00:00
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journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/s0196-6553(96)90023-1
更新日期：1996-10-01 00:00:00
abstract：:A survey of purchasers of The APIC Curriculum for Infection Control Practice was conducted in early 1985 by the APIC Curriculum Committee to determine characteristics of purchasers, usability of the text, reasons for purchase, and availability of references cited. Data were obtained from 342 (54.3%) respondents to a n...
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pub_type： 杂志文章
doi：10.1016/0196-6553(85)90025-2
更新日期：1985-12-01 00:00:00
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journal_title：American journal of infection control
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doi：10.1016/j.ajic.2019.02.006
更新日期：2019-08-01 00:00:00
abstract：BACKGROUND:It has been shown that nontoxic concentrations of ethanol are absorbed after hand hygiene using ethanol-based hand rubs. This study investigated whether absorption of propan-1-ol and propan-2-ol from commercially available hand rubs results in measurable concentrations after use. METHODS:The pulmonary and d...
journal_title：American journal of infection control
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更新日期：2012-04-01 00:00:00
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更新日期：2020-12-25 00:00:00
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更新日期：2018-05-01 00:00:00
abstract：BACKGROUND:Male gender and adiposity are considered to be risk factors for Staphylococcus aureus carriage. We tested whether colonization is related to free testosterone (fT) level and adiposity, measured with body mass index (BMI) and body fat percentage (BFP), in healthy adults. METHODS:Blood sample and throat swabs...
journal_title：American journal of infection control
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更新日期：2017-01-01 00:00:00
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journal_title：American journal of infection control
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更新日期：2015-08-01 00:00:00
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journal_title：American journal of infection control
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更新日期：2020-04-01 00:00:00
abstract：:In September 2011, the Centers for Disease Control and Prevention (CDC) convened a Ventilator-Associated Pneumonia (VAP) Surveillance Definition Working Group to organize a formal process for leaders and experts of key stakeholder organizations to discuss the challenges of VAP surveillance definitions and to propose n...
journal_title：American journal of infection control
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doi：10.1016/j.ajic.2013.07.001
更新日期：2013-11-01 00:00:00
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journal_title：American journal of infection control
pub_type： 杂志文章
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更新日期：1994-12-01 00:00:00
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journal_title：American journal of infection control
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doi：10.1016/j.ajic.2005.05.012
更新日期：2006-02-01 00:00:00
abstract：BACKGROUND:Despite the well-recognized role of urinary catheters in nosocomial urinary tract infections, data on risk factors associated with inappropriate urinary catheter use are scarce. METHODS:A prospective review of electronic medical records of 436 patients admitted to an adult medical-surgical unit between Octo...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2011.03.032
更新日期：2012-02-01 00:00:00
